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Individual

RITA S CLAIBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
1523 S GONZALES TRACE AVE, GONZALES, LA 70737-1605
(225) 227-0973
(225) 264-6408
Mailing address
1523 S GONZALES TRACE AVE, GONZALES, LA 70737-1605
(225) 459-5748

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M3458
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46-4170007
LA
Enumeration date
03/11/2014
Last updated
01/15/2026
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